Download PDF
J Neurol Surg A Cent Eur Neurosurg 2017; 78(04): 412-416
DOI: 10.1055/s-0036-1597904
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Intramuscular Migration of Venous Catheter as a Rare Complication of Ventriculoatrial Shunt: Case Report and Literature Review

Cheng-Che Hung
3   Department of Neurosurgery, China Medical University Hospital, China Medical University, Taichung, Taiwan
,
Hao-Yu Chuang
1   Department of Neurosurgery, China Medical University - An Nan Hospital, Tainan City, Taiwan
,
Hung-Lin Lin
1   Department of Neurosurgery, China Medical University - An Nan Hospital, Tainan City, Taiwan
,
Yen-Tse Chu
1   Department of Neurosurgery, China Medical University - An Nan Hospital, Tainan City, Taiwan
,
Cheng Hsin Cheng
1   Department of Neurosurgery, China Medical University - An Nan Hospital, Tainan City, Taiwan
2   Graduate Institute of Clinical Medical Science, China Medical University, Taichung, Taiwan
› Author Affiliations
Further Information

Publication History

31 October 2016

22 November 2016

Publication Date:
13 February 2017 (online)

    Permissions and Reprints

Abstract

The most common procedure to manage hydrocephalus is a ventriculoperitoneal shunt. Other alternatives include a ventriculoatrial (VA) shunt, ventriculopleural shunt, lumboperitoneal shunt, or ventriculocisternal shunt. The VA shunt is a relatively rare procedure for hydrocephalus. As reported, several complications of VA shunt include obstructions, malposition, shunt infections, endocarditis, heart failure, tricuspid regurgitation, intra-atrial thrombus, and pulmonary hypertension. In this case report and literature review, we discuss a rare case of intramuscular migration of a venous tube 1 year after VA shunt implantation. We also report all the possible locations of migration after placement of VA shunt.

Keywords

ventriculoatrial shunt - shunt migration - hydrocephalus
 

  • References

  • 1 West KW, Turner MK, Vane DW, Boaz J, Kalsbeck J, Grosfeld JL. Ventricular gallbladder shunts: an alternative procedure in hydrocephalus. J Pediatr Surg 1987; 22 (07) 609-612
    CrossrefPubMedGoogle Scholar
  • 2 Martínez-Lage JF, Torres J, Campillo H. , et al. Ventriculopleural shunting with new technology valves. Childs Nerv Syst 2000; 16 (12) 867-871
    CrossrefPubMedGoogle Scholar
  • 3 Nulsen FE, Spitz EB. Treatment of hydrocephalus by direct shunt from ventricle to jugular vein. Surg Forum 1951; 2: 399-403
    PubMedGoogle Scholar
  • 4 Farahmand D, Hilmarsson H, Högfeldt M, Tisell M. Perioperative risk factors for short term shunt revisions in adult hydrocephalus patients. J Neurol Neurosurg Psychiatry 2009; 80 (11) 1248-1253
    CrossrefPubMedGoogle Scholar
  • 5 Hanlo PW, Cinalli G, Vandertop WP. , et al. Treatment of hydrocephalus determined by the European Orbis Sigma Valve II survey: a multicenter prospective 5-year shunt survival study in children and adults in whom a flow-regulating shunt was used. J Neurosurg 2003; 99 (01) 52-57
    CrossrefPubMedGoogle Scholar
  • 6 Steinbok P, Milner R, Agrawal D. , et al. A multicenter multinational registry for assessing ventriculoperitoneal shunt infections for hydrocephalus. Neurosurgery 2010; 67 (05) 1303-1310
    CrossrefPubMedGoogle Scholar
  • 7 Machinis TG, Fountas KN, Hudson J, Robinson JS, Troup EC. Accurate placement of the distal end of a ventriculoatrial shunt with the aid of real-time transesophageal echocardiography. Technical note. J Neurosurg 2006; 105 (01) 153-156
    CrossrefPubMedGoogle Scholar
  • 8 Ghritlaharey RK, Budhwani KS, Shrivastava DK. , et al. Trans-anal protrusion of ventriculo-peritoneal shunt catheter with silent bowel perforation: report of ten cases in children. Pediatr Surg Int 2007; 23 (06) 575-580
    CrossrefPubMedGoogle Scholar
  • 9 Yurtseven T, Erşahin Y, Kitiş O, Mutluer S. Thrombosis and thrombophlebitis of the internal jugular vein as a very rare complication of the ventriculoatrial shunt. Clin Neurol Neurosurg 2005; 107 (02) 144-146
    CrossrefPubMedGoogle Scholar
  • 10 Nguyen HS, Turner M, Butty SD, Cohen-Gadol AA. Migration of a distal shunt catheter into the heart and pulmonary artery: report of a case and review of the literature. Childs Nerv Syst 2010; 26 (08) 1113-1116
    CrossrefPubMedGoogle Scholar
  • 11 Mori T, Arisawa M, Fukuoka M, Tamura K, Kurisaka M, Mori K. Management of a broken atrial catheter migrated into the heart: a rare complication of ventriculoatrial shunt—case report. Neurol Med Chir (Tokyo) 1993; 33 (10) 713-715
    CrossrefPubMedGoogle Scholar
  • 12 James CA, McFarland DR, Wormuth CJ, Teo CM. Snare retrieval of migrated ventriculoatrial shunt. Pediatr Radiol 1997; 27 (04) 330-332
    CrossrefPubMedGoogle Scholar
  • 13 So A, Shirani J. Pulmonary artery embolization of ventriculoatrial shunt fragment. Tex Heart Inst J 2009; 36 (02) 184-185
    PubMedGoogle Scholar
  • 14 Gopal VV, Peethambaran AK. Rare sequelae following ventriculoatrial shunt: case report and review of literature. Asian J Neurosurg 2016; 11 (02) 173
    Article in Thieme ConnectPubMedGoogle Scholar
  • 15 Cowan MA, Allen Jr MB. Retrograde migration of the venous catheter as a complication of ventriculoatrial shunts in adults. Case report. J Neurosurg 1971; 35 (03) 348-350
    CrossrefPubMedGoogle Scholar
  • 16 Jorro Barón F, Casanovas A, Guaita E, Bolasell C, Rombolá V, Debaisi G. Cardiac tamponade as a complication of ventriculo atrial shunt [in Spanish]. Arch Argent Pediatr 2012; 110 (01) e1-e3
    CrossrefPubMedGoogle Scholar
  • 17 O'Shea PA. Inferior vena cava and hepatic vein thrombosis as a rare complication of ventriculoatrial shunt. Case report. J Neurosurg 1978; 48 (01) 143-145
    CrossrefPubMedGoogle Scholar
  • 18 Elhammady MS, Benglis DM, Bhatia S, Sandberg DI, Ragheb J. Ventriculoatrial shunt catheter displacement in a child with partial anomalous pulmonary venous return: case report. J Neurosurg Pediatr 2008; 2 (01) 68-70
    CrossrefPubMedGoogle Scholar
  • 19 Irie W, Furukawa M, Murakami C. , et al. A case of V-A shunt catheters migration into the pulmonary artery. Leg Med (Tokyo) 2009; 11 (01) 25-29
    CrossrefPubMedGoogle Scholar
  • 20 Tonn P, Gilsbach JM, Kreitschmann-Andermahr I, Franke A, Blindt R. A rare but life-threatening complication of ventriculo-atrial shunt. Acta Neurochir (Wien) 2005; 147 (12) 1303-1304
    CrossrefPubMedGoogle Scholar
  • 21 Dhanyee AS, Singh G, Manayalil BP. Revision of ventriculoatrial shunt with transesophageal echocardiogram guidance. J Neurosurg Anesthesiol 2015; 27 (04) 358-359
    CrossrefPubMedGoogle Scholar